Understanding Surgery Risks for Prostate Tumors: A Family's Dilemma
Magnetic resonance imaging (MRI) revealed a 7 cm tumor located in the posterior superior region of the prostate. What are the success rates of surgery and the postoperative recovery process? Hello Dr. Hsu, Due to the severe pandemic situation, it is inconvenient for me to retur...
Dr. Xu Wencang Reply:
Sarcoma is primarily treated with complete surgical resection. The prognosis is related to the degree of malignancy and whether it can be completely excised. If the patient's overall condition permits, surgery is still recommended. Biopsy is not suitable for sarcoma.[Read More] Understanding Surgery Risks for Prostate Tumors: A Family's Dilemma
Concerns About Kidney Health: Managing GERD and eGFR Levels
Kidney problems Hello, doctor. I currently have issues with gastroesophageal reflux and I'm concerned about the potential impact of medication on my kidneys. I carefully reviewed my health check-up from May of this year, which showed no abnormalities in urine protein, urine ...
Dr. Du Shixi Reply:
Hello: The arm function may need further monitoring, as values can fluctuate. It's important to maintain a healthy lifestyle through proper living, rest, diet, and exercise. As for whether to continue treatment for gastroesophageal reflux disease (GERD), please have a specia...[Read More] Concerns About Kidney Health: Managing GERD and eGFR Levels
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Triceps Function: Muscle Engagement and Asymmetry Explained
Triceps brachii 1. When lifting a bucket, the triceps brachii may not feel tense if the weight is not heavy enough or if the movement does not require significant extension of the elbow. The triceps are primarily engaged during activities that involve pushing or extending the arm...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, there are inherent differences between the muscle groups on the left and right sides of the body. If there is localized edema, it becomes even more challenging to make comparisons. For assessing muscle mass, it is recommended to use a body composition a...[Read More] Understanding Triceps Function: Muscle Engagement and Asymmetry Explained
Burning and Tingling in Calves After 30 Minutes of Exercise: Causes and Concerns
Numbness and burning sensation in the calves after 30 minutes of exercise? I am overweight, weighing 110 kg and standing 183 cm tall. I have hyperthyroidism and go to the gym three to four times a week, doing one hour of cardio. However, over the past two days, I have experienced...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology clinic to check for any abnormalities in autonomic nervous system function.[Read More] Burning and Tingling in Calves After 30 Minutes of Exercise: Causes and Concerns
Understanding a 1.02 cm Prostate Cyst: Causes, Monitoring, and Prevention
Prostate cyst measuring 1.02 centimeters? Hello, doctor. I recently underwent a comprehensive health check-up, and during a prostate ultrasound, a 1.02 cm prostate cyst was discovered. What does this mean? How should I monitor it? What preventive measures should I take? Thank you...
Dr. Du Shixi Reply:
Hello: 1) It is mostly an accumulation of fluid. If there are no symptoms of infection, such as urination issues, fever, and normal PSA levels from blood tests, then check-ups every six months to a year are recommended. 2) It is advised to follow up with a urologist at the hospit...[Read More] Understanding a 1.02 cm Prostate Cyst: Causes, Monitoring, and Prevention
Understanding Leg Numbness During Exercise: Causes and Solutions
Numbness in the legs during exercise? Hello, doctor. I exercise 3-4 days a week, and I am 183 cm tall and weigh 110 kg. I primarily do aerobic exercises on the elliptical machine, and I used to be able to work out for over 50 minutes without any issues. However, in the past two d...
Dr. Jiang Junyi Reply:
Hello: Your symptoms of paresthesia may need to first consider "hyperventilation syndrome." When it occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, which triggers systemic reactions and symptoms. Commonly observed sy...[Read More] Understanding Leg Numbness During Exercise: Causes and Solutions
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin Reply:
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Understanding School Health Checkups: What to Expect in Urology Exams
School Health Examination Hello, doctor. Recently, our school is going to have health check-ups. I heard from my neighbor that the doctor will examine the genitals and retract the foreskin to check the testicles. Will it hurt when the foreskin is retracted? I'm a bit scared....
Dr. Cai Zhuorong Reply:
Doctors wear gloves during examinations.[Read More] Understanding School Health Checkups: What to Expect in Urology Exams
Understanding Recurrent Urinary Tract Infections and Hematuria
Recurrent urethritis and hematuria? Hello Doctor: I experience urinary tract infections every month, and each episode is acute, with visible hematuria and significant pain. My health check-ups have consistently shown urinary occult blood. I have undergone kidney ultrasounds, abdo...
Dr. Du Shixi Reply:
Hello: Your condition may be one where there are no symptoms each time, but it hasn't fully resolved. It is recommended to return for a follow-up appointment after taking the medication to confirm that your urine has returned to completely normal. If there is still blood or ...[Read More] Understanding Recurrent Urinary Tract Infections and Hematuria
Why Do I Feel the Urge to Urinate During Sex?
During sexual intercourse, it is common to feel the urge to urinate? Hello Doctor, when I am having intercourse with my girlfriend, I go to the bathroom beforehand, but once I start, I feel the urge to urinate. If I already have some urge to urinate, the sensation is more intense...
Dr. Li Xinyi Reply:
It is also possible that inflammation of the prostate is the cause, and it is indeed possible for tests to come back normal. If it is truly bothersome, it is advisable to consult a urologist to discuss the possibility of trying a one-month course of oral antibiotics.[Read More] Why Do I Feel the Urge to Urinate During Sex?
Understanding Syphilis: Concerns About Positive RPR Test Results
Syphilis concerns? Last week, I went for a health check-up, and the results indicated that my RPR was positive at 1:1X, prompting me to undergo further testing for TPPA. I find this very strange because I haven't had sexual intercourse for over two years, and two years ago, ...
Dr. Du Shixi Reply:
Hello: Further testing for TPHA may be necessary, as there is currently no confirmed diagnosis. Please bring the report to the urology department for evaluation. False positives can occur, where a negative result is mistakenly reported as positive, and this situation is quite com...[Read More] Understanding Syphilis: Concerns About Positive RPR Test Results
Post-Varicocele Surgery: Understanding Erectile Dysfunction and Treatment Options
Post-operative erectile dysfunction after varicocele surgery? Hello Doctor, I would like to ask a question. Previously, during a health check-up, I discovered issues with my semen quality, so I underwent a varicocele ligation surgery at the base of my penis. After the surgery, my...
Dr. Xu Wencang Reply:
After varicocele surgery, there will be no impairment of sexual function. You can go to the hospital for evaluation and examination.[Read More] Post-Varicocele Surgery: Understanding Erectile Dysfunction and Treatment Options
Understanding Low Glomerular Filtration Rate: Causes and Solutions
Could you please provide more details about the glomerular issue you are inquiring about? Hello, doctor. I recently had a health check-up, and today I reviewed the report. Overall, it looks pretty good, but my glomerular filtration rate (GFR) seems a bit low at 79.24. Last year&#...
Dr. Du Shixi Reply:
Hello: 1) Kidney function can vary with each blood draw, so multiple tests are necessary for comparison. There are many factors that can affect kidney health, such as diet, blood pressure, medications, and the presence of proteinuria. Given that you are 42 years old, it is advisa...[Read More] Understanding Low Glomerular Filtration Rate: Causes and Solutions
Understanding Erectile Dysfunction: Causes and When to Seek Help
Do you have issues with erectile dysfunction? Hello, Doctor. In recent years, I have been masturbating about once a day for a long time. I noticed that in mid-May, during one of my masturbation sessions while watching videos, I experienced an erection, but it was only about 70% f...
Dr. Du Shixi Reply:
Hello: A lack of sexual activity cannot be classified as erectile dysfunction, but your symptoms indicate that your body has undergone some changes. It is important to exercise, get enough sleep, maintain a low-fat diet, and drink plenty of water. Reducing the frequency of DIY ac...[Read More] Understanding Erectile Dysfunction: Causes and When to Seek Help
Understanding Elevated PSA Levels: Causes and Next Steps for Patients
Please inquire about elevated PSA levels? Hello, Dr. Du: I would like to ask for your advice. About a week ago, I experienced a sudden onset of symptoms for approximately three to four days, including a feeling of incomplete bladder emptying, a burning sensation in the urethra d...
Dr. Du Shixi Reply:
Hello: Inflammation can cause an increase in PSA levels, but it will gradually decrease over time and should be monitored until it returns to normal. There are many lifestyle precautions to consider for prostatitis, and it is essential to adhere to them as much as possible to pre...[Read More] Understanding Elevated PSA Levels: Causes and Next Steps for Patients
Understanding Morning Hematuria: Causes and Concerns for Patients
Morning hematuria? Hello Dr. Du, I woke up this morning at 6 AM with a feeling of heaviness in my lower abdomen. I went out for a brisk walk and ran for about 50 minutes. After returning home, the sensation of heaviness and swelling in my lower abdomen and genital area became mo...
Dr. Du Shixi Reply:
Hello: For individuals over 45 years old, the presence of visible hematuria requires thorough examination, as it may indicate potential issues. X-rays and cystoscopy are essential, as we need to rule out the possibility of malignancy, even though it may not necessarily be cancero...[Read More] Understanding Morning Hematuria: Causes and Concerns for Patients
Understanding Urinary Issues: When to Seek Further Medical Help
Urinary problems Doctor, I have a long-standing habit of holding in my urine. Last month, I went for an examination, and the doctor said I had a urinary tract infection. I was prescribed medication (for bacterial infection and frequent urination), and I was told there was no need...
Dr. Du Mingyi Reply:
There's no need to be overly anxious; it's unlikely for someone in their 20s to have cancer. It's more likely a common urinary tract infection, which is quite frequent among young women. Try to avoid holding in urine. If there are symptoms of depression or anxiety,...[Read More] Understanding Urinary Issues: When to Seek Further Medical Help
Alternative Treatments for Chlamydia When Doxycycline Fails
Issues with treatment medications for Mycobacterium avium complex (MAC) infection? Hello doctor, I have researched online and found that most treatments involve doxycycline. However, my health check report indicated that I have developed resistance to doxycycline. Can the followi...
Dr. Cai Zhuorong Reply:
Please note that it is bacteria, not humans, that develop drug resistance. Health check-ups cannot provide you with information regarding drug resistance. According to CDC guidelines, the treatment for Chlamydia includes: Azithromycin 1 g orally in a single dose OR Doxycycline 10...[Read More] Alternative Treatments for Chlamydia When Doxycycline Fails
Understanding Urethral Growths: Are They HPV-Related Warts?
Urethral papillae Hello Dr. Du: Three months ago, during my health check-up, I also underwent an HPV DNA test, which detected Low risk: Type 81 (++++) . Three weeks ago, I tested again and still found Type 81. I checked online and found that Type 81 is also considered a type that...
Dr. Du Shixi Reply:
Hello: Our facility requires a personal examination for diagnosis, so it's difficult to provide a definitive answer. Wishing you good health.[Read More] Understanding Urethral Growths: Are They HPV-Related Warts?